Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. LUKES COMMUNITY HOSPITAL

NPI: 1184785420 · POLSON, MT 59860 · Rural Health Clinic/Center · NPI assigned 12/12/2006

$9K
Total Medicaid Paid
8,898
Total Claims
7,740
Beneficiaries
12
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCLAIRMONT, LIANE (EXECUTIVE ASSISTANT)
NPI Enumeration Date12/12/2006

Related Entities

Other providers sharing the same authorized official: CLAIRMONT, LIANE

ProviderCityStateTotal Paid
ST LUKES COMMUNITY HOSPITAL RONAN MT $1.24M
ST. LUKES COMMUNITY HOSPITAL RONAN MT $130K
ST. LUKES COMMUNITY HOSPITAL ST. IGNATIUS MT $81.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 497 $9K
2019 1,447 $0.00
2020 1,616 $0.00
2021 1,288 $0.00
2022 1,753 $0.00
2023 1,581 $0.00
2024 716 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,495 3,905 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 188 184 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,926 2,536 $1K
99215 Prolong outpt/office vis 109 105 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20 15 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 14 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 17 17 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 136 61 $0.00
81003 12 12 $0.00
36415 Collection of venous blood by venipuncture 954 866 $0.00
90619 12 12 $0.00